Literature Review
All posts tagged with “Post-Acute Care News | Managed Care News.”
HHS to impose penalties on providers that block patients’ health information
06/28/24 at 03:00 AMHHS to impose penalties on providers that block patients’ health information McKnights Home Care; by Adam Healy; 6/24/24In a bid to promote easier access and exchange of patients’ health records, the Department of Health and Human Services published a final rule Monday outlining penalties for providers that block access to electronic health information. ... Fragmented and inaccessible patient data can prevent long-term and post-acute care providers from seeing the full picture of a patients’ health. Hospitals, for example, are not required to share updates about a patient’s health with the patient’s post-acute care provider. As a result, home health and home care agencies frequently cannot access patients’ electronic health records to help assess and treat patients. Three disincentives: ... First, hospitals that commit information blocking can be subject to a reduction of three quarters of an annual market basket update. Second, clinicians eligible for the Merit-based Incentive Payment System will receive a zero score in the “promoting interoperability performance” MIPS category, which can be equivalent to roughly a quarter of the clinician’s MIPS score in a given year. Lastly, providers that participate in information blocking can have their Medicare Shared Savings Program or Accountable Care Organization eligibility revoked for at least one year. ...Editor's Note: Almost any solution raises additional challenges. How does HIPAA interface with this? How might a cyberattack at a hospital (or other healthcare agency) affect the patients' other agencies, putting them at risk as well?
Tuesday Health launches revolutionary Supportive Care solution with $60 million of strategic investment from healthcare leaders
05/24/24 at 03:00 AMTuesday Health launches revolutionary Supportive Care solution with $60 million of strategic investment from healthcare leadersInvestors Observier; by PR Newswire; 5/21/24Tuesday Health, a pioneer in value-based care dedicated to transforming serious illness, has launched its innovative supportive care solution in partnership with Valtruis, Blue Venture Fund, Mass General Brigham Ventures , and CareSource. This alliance brings a $60 million strategic investment to Tuesday Health, fueling its mission to redefine supportive care for patients and caregivers facing serious illnesses. "Leveraging clinical expertise, advanced data solutions, and cutting-edge technology, while partnering with Ohio's largest Medicaid plan, its largest hospice provider and the unmatched palliative care experience of Mass General, Tuesday Health is dedicated to tackling one of healthcare's biggest challenges-providing support and care in the right setting, at the right time, for those facing serious illness", said Jim Wieland, CEO of Tuesday Health.Editor's Note: What is the difference between supportive care and palliative care? Click here for a description from ASCO, the American Society of Clinical Oncology.
New dementia guide provides best Standards of Care from 100+ not-for-profit hospice, palliative and advanced illness organizations
05/10/24 at 03:00 AMNew dementia guide provides best Standards of Care from 100+ not-for-profit hospice, palliative and advanced illness organizations PR Newswire; by National Partnership for Healthcare and Hospice Innovation (NPHI); 5/9/24 The National Partnership for Healthcare and Hospice Innovation (NPHI), the national voice for not-for-profit hospice care, in collaboration with Aliviado Health and the Center to Advance Palliative Care (CAPC), announces today the release of the NPHI "Dementia Care Resources Provider Guide." The new guide aims to improve the quality of life for patients with dementia, reducing hospitalizations, and easing the burden of advanced illness for families and caregivers. A dementia diagnosis poses substantial challenges for both patients and their families, impacting millions of Americans nationwide. Shockingly, the Alzheimer's Association reports that an estimated 6.7 million individuals in the U.S. currently live with dementia.
Terminal cancer: What matters to patients and caregivers
05/08/24 at 03:00 AMTerminal cancer: What matters to patients and caregivers Medscape Medical News; by Megan Brooks; 5/6/24 What's most important to patients with terminal cancer and their caregivers? New research found that patients and caregivers both tend to prioritize symptom control over life extension but often preferring a balance. Patients and caregivers, however, are less aligned on decisions about cost containment, with patients more likely to prioritize cost containment. ... As patients approached the end of life, neither patients nor caregivers shifted their priorities from life extension to symptom management.
The U.S. health system should focus on pre-acute care, not post-acute
03/08/24 at 03:00 AMThe U.S. health system should focus on pre-acute care, not post-acuteForbes, by Howard Gleckman; 3/5/24The U.S. health system focuses an enormous amount of money and attention on post-acute care—the medical treatment patients receive after they have been discharged from a hospital. But it would more cost-effective, and far better for patients, to refocus on what you might call pre-acute care: what the U.S. can do to prevent those hospitalizations in the first place.
Scientists reveal that nearly all older Americans follow one of nine trajectories in their last three years of life
03/06/24 at 03:00 AMScientists reveal that nearly all older Americans follow one of nine trajectories in their last three years of life SciTechDaily, by Rutgers University; 3/2/24A Rutgers Health analysis of millions of Medicare records has laid the groundwork for improving end-of-life care by demonstrating that nearly all older Americans follow one of nine trajectories in their last three years of life. “Identifying which paths people actually take is a necessary precursor to identifying which factors send different people down different paths and designing interventions that send more people down whatever path is right for them,” said Olga Jarrín, the Hunterdon Professor of Nursing Research at Rutgers and corresponding author of the study published in BMC Geriatrics.
3 predictions for the future of post-acute care
03/04/24 at 03:00 AM3 predictions for the future of post-acute careBecker's Hospital Review, by Mariah Taylor; 2/28/24Robust in-home care, advances in technology and seamless access to nursing facilities are some of the ways leaders anticipate post-acute care may change in the next 50 years. Here, three leaders give their predictions and hopes for the industry in the future.
Study shows 'alarming' sharp increase of colon cancer in younger Americans
01/18/24 at 04:00 AMStudy shows 'alarming' sharp increase of colon cancer in younger AmericansThe National Desk, by Jamel Valencia; 1/17/24Colorectal cancer is the leading cause of cancer death in men and the second in women under the age of 50, according to the American Cancer Society's annual report on cancer facts and trends. It indicated that colon cancer moved up from being the fourth leading cause of cancer death in both younger men and women two decades ago to first in men and second in women. Breast cancer leads in women under 50 with 2,251 deaths in 2021.
America's health system isn't ready for the surge of seniors with disabilities
01/18/24 at 04:00 AMAmerica's health system isn't ready for the surge of seniors with disabilitiesCalifornia Healthline, by Judith Graham; 1/17/24The number of older adults with disabilities — difficulty with walking, seeing, hearing, memory, cognition, or performing daily tasks such as bathing or using the bathroom — will soar in the decades ahead, as baby boomers enter their 70s, 80s, and 90s.
Memorial Hermann drops Humana Medicare Advantage
01/08/24 at 04:00 AMMemorial Hermann drops Humana Medicare AdvantageBecker's Payer Issues, by Jakob Emerson; 1/4/24Houston-based Memorial Hermann Health System is no longer in network with Humana's Medicare Advantage plans, effective Jan. 1. The 17-hospital system told Houston Public Media that it continues to participate in Humana's commercial network. Humana told the outlet that its Medicare Advantage members who are actively receiving treatment at Memorial facilities, can "continue care until treatment is completed." In November, Memorial Hermann issued termination notices after the reimbursement dispute came to an impasse. It is unclear how many people are affected by the dispute. Along with its hospitals, Memorial has 6,700 affiliated physicians across 260 care delivery sites. Humana is the country's second largest MA insurer, with 5.9 million members as of Nov. 1.
Older Americans say they feel trapped in Medicare Advantage plans
01/08/24 at 04:00 AMOlder Americans say they feel trapped in Medicare Advantage plansKFF Health News, by Sarah Jane Tribble; 1/5/24Enrollment in Medicare Advantage plans has grown substantially in the past few decades, enticing more than half of all eligible people, primarily those 65 or older, with low premium costs and perks like dental and vision insurance. And as the private plans’ share of the Medicare patient pie has ballooned to 30.8 million people, so too have concerns about the insurers’ aggressive sales tactics and misleading coverage claims.
Leading Rural PACE Provider Coming to Northeast Ohio
12/20/23 at 03:33 AMLeading Rural PACE Provider Coming to Northeast OhioNews ReleaseDecember 18, 2023Erie, PA—One Senior Care, a leading PACE provider to rural and Appalachian communities, is proud to announce that its program, LIFE-Northwestern Pennsylvania, has been selected by the Ohio Department of Aging to bring the Program of All-Inclusive Care for the Elderly (PACE) to three counties—Ashtabula, Trumbull, and Mahoning—in Northeast Ohio.